Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:

17.2%

State:

28.5%

Complaint Deficiency

Provide proper discharge planning and communication, of the resident's health status and summary of the resident's stay

Harm: Minimal harm or potential for actual harm

Scope: Some

Automatic sprinkler systems that have been maintained in working order

Harm: Minimal harm or potential for actual harm

Scope: Some

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour

Harm: Minimal harm or potential for actual harm

Scope: Few

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed

Harm: Minimal harm or potential for actual harm

Scope: Some

Exits that are free from obstructions and can be used at all times

Harm: Minimal harm or potential for actual harm

Scope: Some

Review or revise the resident's care plan after any major change in a resident's physical or mental health

Harm: Potential for minimal harm

Scope: Some

Completely assess the resident at least every twelve months

Harm: Potential for minimal harm

Scope: Some

Check and assess each resident's assessment at least every 3 months

Harm: Potential for minimal harm

Scope: Some

Make sure each resident receives an accurate assessment by a qualified health professional

Harm: Potential for minimal harm

Scope: Some

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function

Harm: Minimal harm or potential for actual harm

Scope: Some

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing

Harm: Potential for minimal harm

Scope: Some

Record of quarterly fire drills for each shift under varying conditions

Harm: Potential for minimal harm

Scope: Many

Properly protected cooking facilities

Harm: Potential for minimal harm

Scope: Many

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident

Harm: Minimal harm or potential for actual harm

Scope: Some

Keep each resident's personal and medical records private and confidential

Harm: Minimal harm or potential for actual harm

Scope: Some

Allow residents to easily view the results of the nursing home's most recent survey

Harm: Potential for minimal harm

Scope: Many

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality

Harm: Minimal harm or potential for actual harm

Scope: Some

Reasonably accommodate the needs and preferences of each resident

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide a safe, clean, comfortable and homelike environment

Harm: Potential for minimal harm

Scope: Some

Provide housekeeping and maintenance services

Harm: Potential for minimal harm

Scope: Some

Maintain comfortable sound levels

Harm: Minimal harm or potential for actual harm

Scope: Some

Review or revise the resident's care plan after any major change in a resident's physical or mental health

Harm: Minimal harm or potential for actual harm

Scope: Few

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured

Harm: Minimal harm or potential for actual harm

Scope: Some

Provide necessary care and services to maintain the highest well being of each resident

Harm: Minimal harm or potential for actual harm

Scope: Some

Give the right treatment and services to residents who have mental or psychosocial problems adjusting

Harm: Minimal harm or potential for actual harm

Scope: Some

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents

Harm: Minimal harm or potential for actual harm

Scope: Some

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being

Harm: Minimal harm or potential for actual harm

Scope: Some

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%

Harm: Minimal harm or potential for actual harm

Scope: Some

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature

Harm: Minimal harm or potential for actual harm

Scope: Few

Store, cook, and serve food in a safe and clean way

Harm: Minimal harm or potential for actual harm

Scope: Many

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist

Harm: Minimal harm or potential for actual harm

Scope: Many

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards

Harm: Minimal harm or potential for actual harm

Scope: Some

Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm

Scope: Some

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests

Harm: Minimal harm or potential for actual harm

Scope: Many

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs

Harm: Minimal harm or potential for actual harm

Scope: Some

Properly working alarms on sprinkler valves

Harm: Minimal harm or potential for actual harm

Scope: Many

Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm

Scope: Some

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public

Harm: Minimal harm or potential for actual harm

Scope: Some

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